A nurse is assessing the parents of a 6-year-old child who has died from leukemia. The nurse is integrating the dual process model for the assessment. Which of the following would the nurse identify as reflecting the parents loss-oriented coping?
A) Engaging in new activities
B) Denying the grief
C) Developing new relationships
D) Thinking about the lost child
B
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The nurse is observing a client with major burn injuries for signs of Curling ulcer, a common complication. The nurse should assess the client for:
1. frequent headaches. 2. black, tarry stools. 3. hypertension. 4. purulent drainage from wound sites.
To perform palpation of the lymph nodes, the nurse would face the patient and palpate
a. first one side of the neck, then the other side. b. following a systematic sequence in a clockwise manner. c. moving the fingers from side to side, using firm pressure. d. using the pads and tips of the middle three fingers.
The nurse is caring for a patient with a diagnosis of Addison's disease. What sign or symptom is most closely associated with this health problem?
A) Truncal obesity B) Hypertension C) Muscle weakness D) Moon face
The nurse is to ambulate a patient who has an IV in his arm, an indwelling urinary catheter, and a chest tube. What action is appropriate for the nurse to take?
a. Hold the IV so it is higher than the patient's heart while ambulating. b. Empty the urinary drainage tube before am-bulating. c. Empty the closed chest drainage system before ambulating. d. Hold the closed chest drainage system above the patient's chest level while ambulating.